Individual
ANTONYO LAFONZO STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 BROADUS ST, STURGIS, MI 49091-1384
(877) 659-4500
Mailing address
151 Q ST NE DC APT 3301, 151 Q ST NE APT 3301, WASHINGTON DC, DC 20002
(202) 391-6681
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
04/16/2024
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